Jarodd Walter Hundley, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4040 Broadway Ste 200
San Antonio, TX 78209-6300

Phone

(877) 504-8504

Fax

(855) 420-6402

NPI assigned

Aug 30, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaroddhundley@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  LA, TX

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1124500756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 VANCE JACKSON RD APT 22308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491970",
            "telephone_number": "318-201-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BROADWAY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096300",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Morgan St # 3",
            "address_purpose": "LOCATION",
            "city": "Rayville",
            "state": "LA",
            "postal_code": "712692576",
            "country_code": "US",
            "telephone_number": "318-728-2000",
            "fax_number": "318-728-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNDLEY",
        "first_name": "JARODD",
        "middle_name": "WALTER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Potter Humphrey II, DDS
• Agurah Humphreys, MD
• James L Humphreys, MD
• Aizaz Rashid Hundal, M.D.
• Barbara Hundley, LMSW
• Quinteisha Jenkins Hundley, LPC
• Matthew Allen Huneycutt, CSFA
• Jason Hung
• Sophia Anne Hung
• Ya-Wen Hung, LIC. AC

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.